Roger T Moore, MD
Roger T Moore, MD is a Dermatology in Elkhart, Indiana. Graduated from Texas Tech University Health Science Center School of Medicine in 1999, 27 years ago. Practices with Dermatology and Skin Surgery Center, a 27-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 27
- Trained at
- Texas Tech University Health Science Center School of Medicine
- Licensed in
- IN
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
111 N Nappanee StElkhart, IN 46514-1957
Phone: (574) 522-0265
Fax: (574) 293-2855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 01058554A (IN) |
|---|
Record details
| NPI number | 1366408080 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 21, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 111 N Nappanee Street, Elkhart, IN 46514 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduated | 1999 (27 years in practice) |
| Group practice | Dermatology And Skin Surgery Center — 27 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |